HomeMy WebLinkAbout16-17587 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
1� (813)780-0020 /175 . �
BUILDING PERMIT /"
PERMIT INFORMATION LOCATION INFORMATIOId
:�'ermit Numbcr: 17587 Address: 38544 5TH AVE
� �?ermit Type: -COMMERCIAL ZEPHYRHILLS, FL.
Class of W%"rk: ADD/ALT COMMERCIAL Township: Range: Book:
F'ra�sed Use: COMMERCIAL Lot(s): Block: Section:
�quare Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-16900-0080
Improv. Cost: 9,300.00 OWNER INFORMATION
Date Issued: 7/20/2016 Name: BINGHAM WILLIAM S & TIFFANY RAE
Total Fees: 240.00 Address: 6348 BIRMINGHAM AVE
Amount Paid: 240.00 ZEPHYRHILLS FL 33542-4885
Date Paid: 7/20/2016 Phone: (813)713-3974
Work Desc: UPGRADE BATHROOM TO ADA COMPLIANCES 7-ELEVEN
CONTRACTOR S APPLICATION FEES
GREAT DANE PETROLEUM CONTRACTORS BUILDING FEE 97.50
GREAT DANE PETROLEM CONTRACTORS ELECTRICAL FEE 67.50
GREAT DANEPETROLEM CONTRACTORS I PLUMBING FEE 75.00
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- Ins ections Re uired
FO TER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
' ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the re uirements of this ermit there ma be additional restrictions a licable to this ro e that
Q P , Y PP P P �Y
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. �
,
CONT TOR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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'I a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
4,
`` Building Department
� � � ��' " / jI
Date Received � Phone Contact for Permitting 954 214 -- 4087
`� � � � � � � � � � � � � �
+' Owner's Name 1APAGE PARTNERSHIP Owner Phone Number
Oyvner's Address PO BOX 711-DALLAS TX 75221 Owner Phone Number
I Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS 38544 5TH AVE,ZEPHYRHILLS FL 33542 �oT# 8 9&10
SUBDIVISION CITY OF ZEPHYRHILLS pARCEL ID# 11-26-21-0010-16900-0080
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NSTALLSTR e REPAIR � SIGN Q Q DEMOLISH
, PROPOSED USE Q SFR Q COMM �X OTHER
i � TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q
• DESCRIPTION OF WORK BATHROOM ADA COMPLIANCE UPGRADES,� �i 1r �' �,
BUILDING SIZE . SQ FOOTAGE� HEIGHT
'i'
QBUILRING $ 5,300.00 VALUATION OF TOTAL CONSTRUCTION
r �ELECTRICAL $ 1,250.00 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ 2�750.00 �" ls �
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�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` C���
1�s,�� a/
� �� �
QGAS Q ROOFING Q SPECIALTY � OTHER ^
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO :!� "c ��Ii��-'�
. . . . . . . . . . . . . . . . .
� ��
' � GREAT DANE PETROLEUM CONTRACTORS
BUILDER �_ �COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License# CBC045595
ELECTRICIAN � COMPANY GREAT DANE PETROLEUM CONTRACTORS
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# EC0001046
� GREAT DANE PETROLEUM CONTRACTORS
PLUMBER � OMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# CFC056733
MECHANICAL COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
- ---- ---- - -Minimum-!en(10)work�ng�+ays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
**"PROPERTY SURVEY required for all NEW construction.
.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
r which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
r applicable deed restrictions.
� UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
r contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
. under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the '�
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
� contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
'I County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
� use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
• fees are due, they must be paid prior to permit issuance�in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended). If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
I other than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
�I ` CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
, ' commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
, certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
� - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
�i - Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill.
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
' properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
� acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) — - � " --- - ----- �
?'�'�—
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed a d sworn to(or affirmed)before me this
by by STEVEN M. NALE
Who is/are personally known to me or has/have produced Who is/are rsona y no to me or has/have produced
as identification. as identification.
, /� r
Notary Public �a ��- � tapr Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
ll�:i':fb�' MARIO A.GOMEZ
; ;�� ��':__ Cammission#FF 034473
:;:,�,�;; Expires November4,2017
�%�;p�N°:`� Bar�ed T1uu TroY Fain InsvmaQ003i5-101!
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20�6108271
, �cp4.;1785381 Rec: 18.50
Permit Number l�5: 0.00 I T: 0.0�
:ParcellDNumber 35-25-29-013�-D0000-0080and0090 � �7�SZIZP�1� K. Q. 9�. , �pty CYe�-k
PqULfi S,0'NEIL,Ph.D.PR5G0 CLERK g CO�IPTROLLER
IVOTIC�E OF C �IWMEh1�CE111iE�NT 07�t2�201��t9� t P 2
State of Florld _ Oft BK 3 �� �6g� ;
County of.�?+���'9� - .
THE UNDERSIGiVED hereby gives notice that lmprovements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,Ehe following information(s provided in this N07lCE OF EOMMENCEMENT.
i.�escription of property{Jega!descrlption): see Exhibit A .
e)Stfe@t UOb�AddfeSS: 7600 Gatl Bivd Zephyrhilis,FL 33549
2.GBnEr21 d2SCf1P11011 Of IR1pfOVemefltS: New Construction 7-11 Store and Associated Site Work j p V�,, —,i'G^� i Canti�y
3.Owner lnformation or Eessee information if the Lessee contracted for the improvement: '
a)Name and address: �-Eieven,Inc.3200 Hackberry Rd Irving,Texas 75063
b)Name and address of fee simple titleholder{if different Ihan owner listed above)
c}Interest in properry: awn�r � �� ~��`�
4.Contractor Informa�ion
8�N8R1E.efld 8dd�2SS: Bay to Bay Properties L1�C 600 2nd Street South Safety Harbor,FL 34695
b)Telephone No.: 72��ss-ss�z Fax No.:(optional) 727-797-1513
`�5.Surety((f appllcable,a copy af the.payment bond is attached) �`
a)Name and address: N«
� b)Telephone No,:
c)Amount of Bond: $
6.l.ender
a}Name and address;
' ----------��----..__.__.__...�.____.--�------__�-,.w._—�----------_----._------- -------___._.._-__-�----------��----�-----
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices nr other documents may be served as provided by Section
773.13(1)(a)7.,Fforida Statutes:
a)Name and atldress:
b)Telephone No,: Fax No.:.(optional)
e.a.ln addition to himself or herself,Owner designafes of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)@),Florida Statutes.
b}Phone Number of Person or entity designated hy Owner:
9,Expiratlon date of notice of cammencement_(the expiration date may not be before the completion of.construckian and final payment to the
contractor,but will be 1 year f�om the date of recording unless a different dale is specified�: � ,Zfl
WARNIiVG TO OWNER: ANY PAYMENTS MADE.BY THE OWNER AFTER THE EXPIi2AT10N OF THE NOTICE OF COMMENCEMENT ARE
COlVSIDEREp IMPROPER PAYMENTS 11NpER CHAPTER 713,PART I,.SECTION 713.13,FLORfDA STATUTES,AND CAN RESULT IN YOUi2
PAYlNG TW10E FOR IMPROVEMENTS TO.YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
, THE JOB SITE BEFORE THE FIRST INSPEC710N. fF YOU IiV7END TO OBTAlN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOl1R NOTICE OF COMMENCEMENT. �
Under penalty of perju I declare lhat 1 have read the foregoing notice of commencement and that the facts siated therein are true to the best of my
knowledge and beli . �
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(Signature of Owne ssee,or Owner's or Lessee's(Authorized OfflcerlDirectarlParinedManager) (Pdn ame and P vlde Signatorys TqelOffice)
The foregoing instrument was acknowledged before me thls - 7 day of T.d,,�� .,20 (� �
by ��5��� }���'��r es Q���C (type of authority,e.g.ofticer,trustee,atlomey In fac►) '
fOf .�4Q,�.Ut �.Z�I�P� ,as (V�(��1Ci��e r r
(Name of Person) (typ�of.authority,...e.g.officer,trustee,attomey in tact)
for (name of party on behalf of who instrument was executed).
Personally Known o iD, ,�Q�� u
Notary Signature ��vi'i�`� . . �
., ���,,. . S ` ��e�
��4PpY�PflB,, ERTSON Print name 5�+.� �
9P°rt #`�; Motary P�blic-State of Fforlda '
n•=My Comm Expires Oct 23,2Qfe �
;��o'ti��:� Commissiort#FF iTf234 �
BondedthrouqhNaticnalNotaryAssn. `
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- City of Zephyrhills
- BUILDING PLAN REVIEW COMMENTS
'Contractor/Homeowner: y ' - �/��LC�
Date Received: ��`��l,F�
Site: �� �'T�
Permit Type: k����v��1 ��j�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
'�i��-6�f� Date Contractor and/or Homeowner �
���� (Required when comments are present)
`, �.`1 �i
, '� Great Dane Petroleum Contractors, Inc.
1330 S. Andrews Ave., Pompano Beach, FL. 33069
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June 02, 2016
7-Eleven Stores, Inc.
PO Box 711
Dallas TX 75221
RE: 7-11 #16533
38544 5th Ave
Zephyrhills, FL
Great Dane Petroleum, Inc. is pleased to provide you with a quote for the ADA bathroom
upgrades to be done at above referenced project per the specifications you provided.
Total Amount: $9,300.00
Please call if you have any questions or comments.
Sincerely,
`-�
Steven M. Nale
President/Qualifier
Phone: (954) 792-1334 www.greatdanepetroleum.com Fax: (954) 792-1335
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'�=�=; Great Dane Petroleum Contractors, Inc.
� 1330 S. Andrews Ave., Pompano Beach, FL. 33069
' �,
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LETTER OF TRANSMITTAL
July 08, 2016
City of Zephyrhills
Building Division
Attn: Jackie
5335 8th Street
Zephyrhills, FL 33542
RE: 7-11 #16533
38544 5th Ave
Zephyrhills, FL
Hello Jackie, per our conversation, enclosed is a permit application package for
bathroom ADA upgrades to be done at above-referenced site. Please let me know if you
need any additional information. �
Mario A. Gomez
Great Dane Petroleum
Cell: 954-214-4087
mario@greatdanepetroleum.com
Phone: (954) 792-1334 www.greatdanepetroleum.com FaY: (954) 792-1335